| NPI | 1699277798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN INGRAHAM CASTELLANOS Secretary/Treasurer 205-907-5921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 26739) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |